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Doctors propose new Medicare direct-contracting model

Doctors propose new Medicare direct-contracting model

By Virgil Dickson  |  May 25, 2018

A group of doctor practices has united to develop a way the CMS can contract with practices to treat Medicare beneficiaries. Not everyone is on board, as some clinicians fear it could lead to rationing of care.

CMS seeks to allow doctors to bill patients directly

CMS seeks to allow doctors to bill patients directly

By Virgil Dickson  |  April 23, 2018

The CMS wants to launch a new model that will allow Medicare enrollees to contract directly with physicians. Advocates warn the approach could undermine access to care for the sickest patients.

Alternative pay models stifled by lack of private payer interest

Alternative pay models stifled by lack of private payer interest

By Virgil Dickson  |  April 02, 2018

A CMS initiative encouraging states to develop alternative pay models has failed to make a dent in health expenditures, partly due to private insurers' lack of interest in the programs, according to a new analysis.

Editorial: Second thoughts on physician pay reform

Editorial: Second thoughts on physician pay reform

By Merrill Goozner  |  March 17, 2018

The Medicare Payment Advisory Commission wants Congress to scrap the new Merit-based Incentive Payment System for physicians, better known as MIPS, and replace it with a voluntary program. They want to ditch one before it's even been tried.

MedPAC votes 14-2 to junk MIPS, providers angered

MedPAC votes 14-2 to junk MIPS, providers angered

By Virgil Dickson  |  January 11, 2018

An influential policy organization that advises Congress on Medicare issues has voted to repeal and replace MIPS under MACRA. Providers immediately criticized the move to end the program and what the panel wants to replace it with.

Report finds Medicare willing to pay for primary care in new ways

Report finds Medicare willing to pay for primary care in new ways

By Tara Bannow  |  December 07, 2017

Medicare is increasingly willing to pay primary-care physicians to manage complex patients using new billing codes and demonstration projects, which a new Urban Institute report says may narrow the pay gap between primary-care physicians and specialists.

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